A complex case of biliodigestive anastomosis stricture treated with biodegradable stent placement after endoscopic-ultrasound guided gastrojejunostomy

Abstract Text A 37-year-old man underwent Roux-en-Y hepaticojejunostomy for complicated cholecystitis. Biliodigestive anastomosis stricture developed. Percutaneous placement of an uncovered metal stent (MS) was attempted, with proximal misdeployment treated with a second trans-stent, trans-anastomotic MS placement. A year later, migration of the distal MS occurred, with rupture of the proximal MS whose fragment was retained in the bile duct. An EUS-guided gastrojejunostomy (GJ) was created, allowing access to the biliodigestive anastomosis and a FC-SEMS was placed. One week later, SEMS was removed and the retained MS fragment extracted; two 10Fr x 5cm biliary plastic stents were left. After a month, the biliodigestive anastomosis was still accessed through the GJ, plastic stents were removed, and an 8mm x 5.5cm uncovered biodegradable balloon-expandable stent was placed across the biliodigestive anastomosis.

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/240807b5-993f-4504-81c5-d82d703d414f/Uploads/16849_biliodigestive_anastomosis.mp4

Publication History

Article published online:
27 March 2025